| Holly Gist-richer Lmsw Pllc | |
|
137 Maple St Grass Lake MI 49240-9718 | |
| (248) 931-4986 | |
| Not Available |
| Full Name | Holly Gist-richer Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 137 Maple St, Grass Lake, Michigan |
| Authorized Official Name and Position | Holly Gist-richer (OWNER) |
| Authorized Official Contact | 2489314986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Gist-richer Lmsw Pllc 137 Maple St Grass Lake MI 49240-9718 Ph: (248) 931-4986 | Holly Gist-richer Lmsw Pllc 137 Maple St Grass Lake MI 49240-9718 Ph: (248) 931-4986 |
| NPI Number | 1427732676 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 1355783861 |
|---|---|
| Medicare Enrollment ID | O20240530000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427732676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly E Gist-richer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275906091 PECOS PAC ID: 6507168887 Enrollment ID: I20171221002423 |
Positive Mindset Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12901 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-240-1367 |